A 40-year-old man lost 10 kilograms in half a year because of his upper abdomen. It was found that his pancreatic cancer had spread and he could not be operated on.

A 40-year-old man does not smoke or drink, has no chronic diseases, and has no family history. However, in the past six months, he sought medical treatment due to abdominal distension, poor digestion, and abnormal bowel movements. No major problems were found through ultrasound and gastroscopy. The examination revealed that the pancreatic tumor index exceeded the standard, and the tomographic scan also revealed that there was already an 8 cm tumor in the pancreas, which had spread to the lymph and blood vessels. Surgery was impossible and chemotherapy was the only option. Lin Xianghong, director of Hexin Minquan Health Management Clinic, posted on the Facebook page "Pancreas

Physicians reminded that the discomfort in the upper abdomen should not be thought of as stomach problems, but also be careful of pancreas problems; the picture is a photo of the situation, and the characters in the picture have nothing to do with this article.

(picture taken from shutterstock)

[Health Channel/Comprehensive Report] A 40-year-old man does not smoke or drink, has no chronic diseases, and has no family history. However, in the past six months, he sought medical treatment due to abdominal distension, poor digestion, and abnormal bowel movements. Ultrasound and gastroscope examinations found no major problems , but due to continued weight loss, re-examination found that the pancreatic tumor index exceeded the standard, and the tomographic scan was also surprised to find that there was already an 8 cm tumor in the pancreas, which had spread to the lymph and blood vessels.

Lin Xianghong, director of Hexin Minquan Health Management Clinic, shared the case on the Facebook page "Pancreatic Physician Lin Xianghong Hexin Minquan Internal Medicine Clinic" and pointed out that the man often felt that his upper abdomen would be bloated recently, his digestion became poor, and he defecated. It also became a little soft, and there will be undigested food in the stool, because it is easy to be flatulent after eating, so I reduce the amount of food, and I did not expect to lose 10 kg in weight.

Please read on...

After going to the doctor for a blood test, it was found that the blood sugar was high but not in the stage of diabetes, and the gastroesophageal reflux was found by the gastroenteroscopy, and the abdominal ultrasound was also normal.

After taking related gastrointestinal medicine, these symptoms can only be said to be partially improved, but not completely cured, and the weight continues to drop.

Unexpectedly, after a few months, I felt something was wrong, and the pancreas tumor index CA199 increased by 167U/ml (normal <37). After a further CT scan, it was found that there was already an 8 cm tumor in the pancreas, which had spread to the lymph and Blood vessels, inoperable, can only be treated with chemotherapy. Fortunately, it is a type of mucinous pancreatic cancer, and its prognosis is much better than that of ordinary pancreatic adenocarcinoma.

A 40-year-old man often had abdominal distension and thought he had a stomach problem. After examination, it was found that the pancreatic tumor index had increased by 167 U/ml. There was already an 8 cm tumor in the pancreas, which had spread to the lymph and blood vessels. He could not be operated on and had to be treated with chemotherapy.

(The picture is taken from Lin Xianghong's Facebook page)

Pay attention to high blood sugar, abdominal pain and abdominal distension

Lin Xianghong said that many symptoms in this case suggest a problem with the pancreas.

For example, rising blood sugar may be the only symptom of pancreatic cancer in the early stage, especially the older you are, the higher the risk of getting diabetes, or the family has no diabetes, and only your own blood sugar rises. Remember to check your pancreas.

In addition, bloating symptoms combined with weight loss, although 70% of early pancreatic cancer is asymptomatic, but in symptomatic groups, 30% are abdominal pain and bloating, and 10% are back pain.

Endoscopic Ultrasound Discovers Small Pancreatic Tumors

Abdominal ultrasound can see the pancreas clearly?

Lin Xianghong explained that although it is the most convenient and most frequently done, it is not an ideal tool for pancreatic screening, and the smaller the lesion, the lower the accuracy of ultrasound. It is really difficult to detect pancreatic cancer at an early stage within 2 cm Difficult, the overall accuracy ranges from 50-90%.

If you want to achieve the highest accuracy, it is recommended to use pancreatic endoscopic ultrasound (EUS), which has the highest detection rate for small pancreatic tumors, which can reach more than 90%, which is better than 80% of magnetic resonance imaging and 70% of tomography As a result, in patients with suspected pancreatic tumors, the final diagnosis and biopsy can also be provided.

Lin Xianghong reminded that people with related symptoms are advised to perform gastrointestinal endoscopy together with pancreatic endoscopy ultrasound to perform sleep anesthesia, so as to have a chance of early diagnosis of pancreatic tumors. If this patient had a pancreas examination half a year ago, There is a high chance that surgery can be done, and the prognosis and quality of life will be very different.

In addition, I also appeal to the public not to think that upper abdominal discomfort is only caused by stomach problems, but also to be careful about pancreas problems.

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keywords

lymph
Blood vessel
pancreatic cancer
stomach trouble
pancreas
pancreatic tumor
abdominal distension

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A 40-year-old man lost 10 kilograms in half a year because of his upper abdomen. It was found that his pancreatic cancer had spread and he could not be operated on.